North Colorado Health Alliance

TO ENSURE THAT ALL MEDICALLY UNDERSERVED RESIDENTS OF NORTHEAST COLORADO HAVE ACCESS TO APPROPRIATE, AFFORDABLE, QUALITY HEALTH CARE AND DISEASE PREVENTION SERVICES.

INTEGRATED INFORMATION TECHNOLOGY: NCHA MANAGES A SHARED AND INTEGRATED IT PLATFORM FOR PARTNER MEMBERS WHO WISH TO USE THE PLATFORM. NCHA EMPLOYS A DIRECTOR OF INFORMATION TECHNOLOGY TO OVERSEE ALL PROGRAM ACTIVITIES AND HAS A SERVICES AGREEMENT WITH A HIPAA-COMPLIANT EXTERNAL HOSTING COMPANY FOR HARDWARE INCLUDING DATABASE AND CITRIX SERVERS, SYSTEM DESIGN AND MAINTENANCE, AND ENGINEERING SUPPORT. IN ADDITION TO BASIC E-MAIL, OFFICE PRODUCTIVITY SOFTWARE, GENERAL LEDGER AND PAYROLL PROGRAMS, NCHA HOSTS A SHARED PRACTICE MANAGEMENT AND ELECTRONIC HEALTH RECORD SOLUTION (GE CENTRICITY PRACTICE SOLUTION) THAT SUPPORTS THE INTEGRATED HEALTH CARE PROGRAMS OPERATED BY ALLIANCE PARTNER ORGANIZATIONS. OPERATING COSTS ARE SHARED ON A PRO-RATED BASIS DETERMINED BY NUMBER OF ORGANIZATIONAL USERS.

REGIONAL ACCOUNTABLE ENTITY (RAE) CARE MANAGEMENT: NCHA PROVIDES CARE MANAGEMENT SERVICES IN TWO OF SEVEN REGIONS IN COLORADO UNDER DELEGATION AGREEMENTS WITH NORTHEAST HEALTH PARTNERS (RAE 2) AND ROCKY MOUNTAIN HEALTH PLANS (RAE 1). NCHA IS COMPENSATED ON A PER MEMBER PER MONTH BASIS TO PROVIDE CARE MANAGEMENT SERVICES TO ATTRIBUTED MEDICAID/MEDICARE MEMBERS. NCHA IS RESPONSIBLE FOR AN AVERAGE POPULATION OF 80,000 MEMBERS BETWEEN BOTH REGIONS. THE PERFORMANCE METRICS OF THE CARE MANAGEMENT PROGRAM INCLUDE: REDUCING EMERGENCY DEPARTMENT UTILIZATION, REDUCING HOSPITAL ADMISSIONS AND READMISSIONS, ADDRESSING POTENTIALLY AVOIDABLE HEALTH CARE COSTS THROUGH INCREASING RATES OF WELL CHILD CHECKS, PRENATAL AND POSTPARTUM VISITS, AND DIABETES SCREENING AND ASSESSMENTS. CURRENTLY THE CARE MANAGEMENT TEAM HAS A TOTAL OF 52 POSITIONS FUNDED THROUGH THIS SOURCE.

WELD COUNTY DEPARTMENT OF HUMAN SERVICES: IN COLLABORATION WITH WELD COUNTY DEPARTMENT OF HUMAN SERVICES, NCHA PROVIDED ENHANCED RN COMMUNITY HEALTH CARE MANAGEMENT SERVICES (SEPARATE FROM THE RAE 2 AGREEMENT). RN'S PROVIDED NURSING CONSULTATION, CARE MANAGEMENT, AND EDUCATION AND TRAINING AS REQUESTED BY DHS FOR MEDICALLY FRAGILE CHILDREN AND ADULTS. SERVICES WERE PROVIDED BETWEEN THE HOURS OF 7AM AND 7M M-F AND BILLED AT A FLAT RATE FOR SERVICES PLUS MILEAGE. DHS REQUIRED RN COMMUNITY HEALTH CARE MANAGERS TO SUBMIT MONTHLY REPORTS ON ALL ACTIVE REFERRALS FOR ONGOING SERVICES.

OTHER PROGRAM ACCOMPLISHMENTS INCLUDE A PROJECT TO CONTINUE TO EXPAND ACCESS TO COMPREHENSIVE INTEGRATED HEALTH CARE FOR ALL RESIDENTS OF NORTHERN COLORADO FUNDED BY A GRANT FROM THE COLORADO HEALTH FOUNDATION, AND A PROGRAM TO PROVIDE A MEDICAL VAN TO TRANSPORT LOW INCOME INDIVIDUALS TO SERVICE LOCATIONS.